Individual
TRACY WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3101 NASA PKWY STE F, SEABROOK, TX 77586-6475
(832) 932-5787
(832) 932-5979
Mailing address
PO BOX 2144, LEAGUE CITY, TX 77574-2144
(832) 932-5787
(832) 932-5979
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
91672
TX
246ZS0410X
Surgical Technologist
91672
TX
Other
Enumeration date
01/27/2020
Last updated
02/20/2020
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